Organization Active NPI

Zaccone and Petrone PC

  • Internal Medicine Physician
  • Philadelphia, PA
National Provider Identifier
1730134354
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
BP4578970 Issued in PA
Legal business name
ZACCONE AND PETRONE PC
Practice address
1439 E Passyunk Ave
Philadelphia, PA 19147-5610
Phone
(215) 416-5278
Fax
(215) 755-4886
NPI assigned
May 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark Petrone, D.O
Title
Secretary
Phone
(215) 416-5278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X BP4578970 PA Primary

Addresses

Primary practice location

1439 E Passyunk Ave
Philadelphia, PA 19147-5610

Mailing address

PO Box 25024
Philadelphia, PA 19147-0224
Phone (215) 416-5278

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040624000940 PA Part B Supplier - Clinic/Group Practice 1951387711 Receives reassigned benefits from 2 practitioners
Practice locations: Philadelphia, PA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730134354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25024",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191470224",
            "telephone_number": "215-416-5278",
            "fax_number": "215-755-4886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1439 E PASSYUNK AVE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191475610",
            "telephone_number": "215-416-5278",
            "fax_number": "215-755-4886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZACCONE AND PETRONE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PETRONE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "215-416-5278",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "BP4578970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.